Planning Emergency Medical Services for Children in Bolivia: part 2-results of a Rapid Assessment Procedure.

Abstract:

OBJECTIVE:To obtain social and cultural data about factors affecting the development of Emergency Medical Services for Children (EMS-C) in La Paz, Bolivia. The points-of-view of potential consumers and providers were sought. METHODS:A Rapid Assessment Procedure (RAP) was conducted. RAP is a qualitative ethnographic technique that permits delineation of social, cultural, and behavioral themes about a population based on members' lived experience. In-depth interviews and participant-observation provide rapid information and enhance the likelihood of successful implementation of interventions and services before major investments in infrastructure. RESULTS:Information collected from providers, administrators, and consumers revealed 4 themes affecting EMS-C: (1) Nature of injuries and illnesses in the Emergency Department-root causes were held to be related to the physical and emotional effects of poverty; (2) "Inappropriate" use-health care providers and consumers differed in their identification of valid reasons for utilizing EMS-C; (3) Coordination, organization, and standardization of care-both groups keenly felt their absence; and (4) Training and specialization-particularly the provider respondents felt that EMS-C would require radical changes in the training system. An expected theme, Prevention and Advocacy, did not emerge; respondents did not appear to feel that health care providers had any role in affecting public policy. CONCLUSIONS:RAP methodology provided a detailed picture of current EMS-C in La Paz, including viewpoints from all major stakeholders. This information will be used to support the development of Emergency Medicine programs that are locally driven, culturally appropriate, and socially feasible.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Goepp J,Chin NP,Malia T,Poordabbagh A

doi

10.1097/01.pec.0000142950.58265.15

subject

Has Abstract

pub_date

2004-10-01 00:00:00

pages

664-70

issue

10

eissn

0749-5161

issn

1535-1815

pii

00006565-200410000-00004

journal_volume

20

pub_type

杂志文章
  • A teenage girl with a sternal mass: an unusual presentation of Pott disease.

    abstract::Bone and joint infection complicating tuberculosis is most likely to involve vertebrae. Pott disease, or tuberculous spondylitis, represents a small proportion of tuberculosis cases, but it can be associated with significant morbidity and mortality. Our case report details Pott disease in a teenage girl, which present...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181fb0e38

    authors: Posner KR,Mittal MK

    更新日期:2010-11-01 00:00:00

  • Chlamydia Conjunctivitis in 2 Prepubertal Children: An Uncommon Presentation of Child Sexual Abuse.

    abstract::Sexually transmitted infection as the result of child sexual abuse in prepubertal children is uncommon. Chlamydia trachomatis conjunctivitis is an even less common entity in prepubertal children outside the newborn period. This report details the presentation of 2 children with conjunctivitis who were subsequently dia...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001449

    authors: Brownell AD,Miraldi Utz V,Makoroff KL,Shapiro RA,Mortensen JE

    更新日期:2020-08-01 00:00:00

  • Status epilepticus secondary to hypertensive encephalopathy as the presenting manifestation of Guillain-Barré syndrome.

    abstract::Malignant hypertension due to autonomic dysfunction is a known complication of Guillain-Barré syndrome. We describe a child who presented with status epilepticus secondary to hypertensive encephalopathy who, in recovery, was found to be areflexic. Nerve conduction studies confirmed the clinical diagnosis of Guillain-B...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31814b2ddd

    authors: Abend NS,Bonnemann CG,Licht DJ

    更新日期:2007-09-01 00:00:00

  • Glass thermometer injuries: it is not just about the mercury.

    abstract:BACKGROUND:Glass mercury thermometers were once used as the criterion standard for measuring core body temperature. Once broken, however, there is the dual hazard of broken glass and exposure to mercury. Previous studies have focused only on the mercury hazard rather than injuries related to thermometer glass. OBJECTI...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/pec.0b013e3181b920cc

    authors: Aprahamian N,Lee L,Shannon M,Hummel D,Johnston P,Kimia A

    更新日期:2009-10-01 00:00:00

  • A common cause of altered mental status occurring at an uncommon age.

    abstract::Wernicke's encephalopathy is a neurologic disorder due to a nutritional deficiency of thiamine, characterized by ocular palsies, ataxia, and altered mental activity. While Wernicke's encephalopathy is commonly attributed to alcoholism in the adult population, it has been described in children receiving prolonged paren...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-200004000-00007

    authors: Decker MJ,Isaacman DJ

    更新日期:2000-04-01 00:00:00

  • Syncope in children and adolescents.

    abstract::We retrospectively reviewed the emergency department records of 77 children and adolescents seen in an emergency department with the chief complaint of fainting. Upon careful review, 20 patients had not had any type of syncopal or near-syncopal episode. Of the remaining 57 patients, 40 experienced syncope, and 17 pati...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198906000-00002

    authors: Pratt JL,Fleisher GR

    更新日期:1989-06-01 00:00:00

  • Characteristics of pediatric trauma in an urban city in Japan.

    abstract:OBJECTIVES:To clarify the characteristics of recent pediatric injuries in an urban city in Japan. METHODS:Any patient who was under 13 years old and admitted for treatment of trauma between January 2000 and December 2007 was retrospectively investigated. The subjects were divided into 2 groups, the head injury (HI) an...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181b4f60e

    authors: Yanagawa Y,Sakamoto T

    更新日期:2009-09-01 00:00:00

  • Invasive Bacterial Infections in Infants Younger Than 60 Days With Skin and Soft Tissue Infections.

    abstract:OBJECTIVE:The objective of this study was to describe the frequency of invasive bacterial infections (IBIs) in young infants with skin and soft tissue infections (SSTIs) and the impact of IBI evaluation on disposition, length of stay (LOS), and cost. METHODS:This retrospective (2009-2014) cohort study used data from 3...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001584

    authors: Foradori DM,Lopez MA,Hall M,Cruz AT,Markham JL,Colvin JD,Nead JA,Queen MA,Raphael JL,Wallace SS

    更新日期:2018-08-20 00:00:00

  • Computed Tomography Diagnostic Abilities for Open-Globe Injuries in Pediatric Versus Adult Patients.

    abstract:OBJECTIVES:The aim of this study was to compare the role of computed tomography (CT) in the diagnosis of open-globe trauma and intraocular foreign body (IOFB) in pediatric and adult age groups. METHODS:Medical records of cases with open-globe trauma at Inonu University Hospital's Ophthalmology Emergency Service were r...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001747

    authors: Dikci S,Yildirim İO,Firat M,Firat PG,Demirel S,Yilmaz T,Tuncer İ,Genç O

    更新日期:2019-01-29 00:00:00

  • Spontaneous pneumorrhachis.

    abstract::Pneumomediastinum is a relatively uncommon occurrence in pediatric patients. After mediastinal air leak, air may dissect through a variety of tissue planes within the chest, neck, and abdomen. We report the case of a 16-year-old adolescent boy who presented with spontaneous pneumomediastinum accompanied by the presenc...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31828a38ad

    authors: Carolan PL,Wright SL,Jha V

    更新日期:2013-04-01 00:00:00

  • Pediatric carbamazepine overdoses.

    abstract::Thirty pediatric cases of carbamazepine overdoses were reviewed retrospectively for the frequency of toxic effects. Patients were divided into three groups, depending on the type of overdose: acute, acute-on-chronic, and chronic. Effects included lethargy in 93%, ataxia in 50%, nystagmus in 13%, and minor arrhythmias ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199410000-00004

    authors: Bridge TA,Norton RL,Robertson WO

    更新日期:1994-10-01 00:00:00

  • Charges and complications associated with the medical evaluation of febrile young infants.

    abstract:BACKGROUND:Since 1983, no study has evaluated the costs and complications involved in the inpatient evaluation of antibiotic therapy for febrile infants aged 29 to 60 days. METHODS:A prospective quality indicator/quality assurance study of low-risk febrile young infants (FYIs) was conducted during a 16-month period af...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181d1e180

    authors: Condra CS,Parbhu B,Lorenz D,Herr SM

    更新日期:2010-03-01 00:00:00

  • Alcaligenes faecalis Cellulitis After a Dog Bite: Case Report and Literature Review.

    abstract::Alcaligenes faecalis is a gram-negative organism that is commonly found in the environment and may also be a part of normal fecal flora in humans. Although various infections with this bacteria have been described in the pediatric population, it has not been previously identified in infections as the pathogen after a ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0000000000000645

    authors: Chu AS,Harkness J

    更新日期:2017-07-01 00:00:00

  • Fell on outstretched hand.

    abstract::Radial neck fractures in children are not uncommon. Most are minimally displaced or nondisplaced. Severely displaced fractures or angulated radial neck fractures in children often have poor outcomes, especially if not reduced, and even after open reduction. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000235839.44449.36

    authors: Waseem M,Devas G,Perales O

    更新日期:2006-09-01 00:00:00

  • Neonatal seizures: soothing a burning topic.

    abstract::Neonatal seizures are a potentially life-threatening pediatric problem with a variety of causes, such as birth trauma, asphyxia, congenital anomalies, metabolic disturbances, infections, and drug withdrawal or intoxication. Thorough and timely evaluations of such patients are necessary to identify and treat the underl...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182a62fd6

    authors: Thornton MD,Chen L,Langhan ML

    更新日期:2013-10-01 00:00:00

  • Pediatric Emergency Medicine Fellowship survey: 1991-1992.

    abstract::This study was designed to determine the general characteristics, training expectations, and career goals of those individuals entering Pediatric Emergency Medicine Fellowships in 1992 through the NRMP Pediatric Emergency Medicine Match. A 20-item questionnaire was developed and sent to those individuals who successfu...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199212000-00006

    authors: Simon HK,Linakis JG

    更新日期:1992-12-01 00:00:00

  • Randomized controlled trial of ultrasound-guided peripheral intravenous catheter placement versus traditional techniques in difficult-access pediatric patients.

    abstract:OBJECTIVES:We hypothesized that the use of ultrasound guidance would improve the success rate of peripheral intravenous catheter placement in pediatric patients with difficult access in a pediatric emergency department (ED). Our secondary hypotheses were that ultrasound guidance would reduce the number of attempts, the...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PEC.0b013e31819a8946

    authors: Doniger SJ,Ishimine P,Fox JC,Kanegaye JT

    更新日期:2009-03-01 00:00:00

  • Pediatric Exposures Reported to the Toxicology Investigators Consortium, 2010-2015.

    abstract:BACKGROUND AND OBJECTIVE:Poisoning is the leading cause of injury death in pediatric patients. Hospital and provider readiness, including pharmacy stocking, depends on reliable surveillance data describing local patterns of age-specific clinically significant exposures and the therapeutic modalities employed in their t...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001893

    authors: Desai NM,Mistry RD,Brou L,Boehnke ME,Lee JS,Wang GS,Toxicology Investigators Consortium.

    更新日期:2019-08-23 00:00:00

  • Spontaneous bilateral pneumothorax in an infant with bronchiolitis.

    abstract::Spontaneous pneumothorax is an uncommon complication of bronchiolitis due to respiratory syncytial virus. Bilateral spontaneous pneumothorax in an infant with respiratory syncytial virus bronchiolitis has not been previously reported. We report the case of a four-month-old infant who presented in respiratory distress ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198703000-00010

    authors: Pollack J

    更新日期:1987-03-01 00:00:00

  • Omeprazole-induced hepatitis.

    abstract::Omeprazole; the first proton pump inhibitor (PPI) showing an effective acid inhibitory ability, provides the satisfactory therapy either in gastro-esophageal reflux symptom relief or in healing of erosive esophagitis. It's also effective in peptic ulcer disease. Up to date, omeprazole efficacy and safety are well esta...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000173350.45648.9b

    authors: El-Matary W,Dalzell M

    更新日期:2005-08-01 00:00:00

  • Which Clinical Features of Children on Initial Presentation to the Emergency Department With Head Injury Are Associated With Clinically Important Traumatic Brain Injury, Classification as Abuse, and Poor Prognosis?

    abstract:BACKGROUND:Pediatric traumatic brain injury (TBI) and abusive head trauma (AHT) are leading causes of morbidity and mortality. Clinicians may not be aware of AHT at presentation to the emergency department (ED). OBJECTIVE:The objective of this study was to determine which clinical features associated with head injury ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002239

    authors: Burns J,Rohl S,Marth D,Proctor D,Amin R,Sekhon C

    更新日期:2020-09-10 00:00:00

  • An uncommon late complication of appendicitis.

    abstract::A 10-year-old boy presented with a 2.5-week history of right leg pain and limp. A right flank mass was noted by a parent on the day of presentation. The child's past medical history was remarkable for perforated appendicitis treated with an interval laparoscopic appendectomy 2 years before this presentation. Abdominal...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181f39d84

    authors: Lapus RM,Baker MD

    更新日期:2010-10-01 00:00:00

  • Lower extremity pain in a three year old: manifestations of Guillain-Barré syndrome.

    abstract::Guillain-Barré syndrome (GBS) in children can present with early symptoms of limb and back pain that progress to acute generalized paralysis. Although the clinical course of this illness may be benign with spontaneous recovery, treatment is indicated for more severe cases. We report a three-year-old patient with GBS, ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199808000-00007

    authors: Jackman NL,Klig JE

    更新日期:1998-08-01 00:00:00

  • Central venous access via external jugular vein in children.

    abstract:OBJECTIVE:To determine the success rate and complications of using the external jugular (EJ) vein for central venous access in pediatric patients. METHODS:Prospective cohort study of children who underwent attempts at EJ vein central venous access while receiving care in an 11-bed pediatric intensive care unit at an u...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181ea71ca

    authors: Tecklenburg FW,Cochran JB,Webb SA,Habib DM,Losek JD

    更新日期:2010-08-01 00:00:00

  • Abusive Head Trauma and a Delay in Presentation for Care.

    abstract:OBJECTIVES:Abusive head trauma (AHT) is the leading cause of death from trauma in children less than 2 years of age. A delay in presentation for care has been reported as a risk factor for abuse; however, there has been limited research on this topic. We compare children diagnosed with AHT to children diagnosed with ac...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002197

    authors: Kennedy JM,Ma J,Lyden ER,Haney SB

    更新日期:2020-07-15 00:00:00

  • Gravel gut: small bowel perforation due to a blunt ingested foreign body.

    abstract::The ingestion of foreign bodies remains a common occurrence in children. Most ingested foreign bodies pass spontaneously, although up to 1% will result in intestinal perforation. Specific foreign bodies such as sharp, pointed, or corrosive objects have been typically associated with perforation. The initial diagnosis ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3180302be6

    authors: Cross KM,Holland AJ

    更新日期:2007-02-01 00:00:00

  • Ketamine Infusion for Pain Control in Acute Pediatric Sickle Cell Painful Crises.

    abstract:OBJECTIVES:Sickle cell disease is the most common hemoglobin variant in the world and can present with recurrent vaso-occlusive painful crises. Pain control in these patients is often difficult and requires a multimodal approach. In patients with uncontrolled pain after traditional pain control methods, ketamine infusi...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0000000000000978

    authors: Hagedorn JM,Monico EC

    更新日期:2019-01-01 00:00:00

  • Negative-pressure pulmonary edema: a rare complication of upper airway obstruction in children.

    abstract:UNLABELLED:Negative-pressure pulmonary edema is a rare but life-threatening complication of upper airway obstruction. Because negative-pressure pulmonary edema may occur in a large spectrum of pathologies associated with upper airway obstruction, awareness of this condition is crucial during daily clinical practice. We...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000186430.92388.a6

    authors: Silva PS,Monteiro Neto H,Andrade MM,Neves CV

    更新日期:2005-11-01 00:00:00

  • Ventricular septal defect following blunt chest trauma in childhood: a case report.

    abstract::We report a case of a six-year-old male who sustained a ventricular septal defect following blunt trauma to the chest. Traumatically acquired VSD is rare in children. The diagnosis is made by characteristic history and physical examination and confirmed by echocardiogram or cardiac catheterization. Treatment is medica...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198612000-00009

    authors: Knapp JF,Sharma V,Wasserman G,Hoover CJ,Walsh I

    更新日期:1986-12-01 00:00:00

  • Acute Dystonia Versus Neuroleptic Malignant Syndrome Without Fever in an Eight-Year-Old Child.

    abstract::Neuroleptic malignant syndrome (NMS) is a rare but potentially fatal complication of the use of certain medications. It is being seen more often in the pediatric population because of the increasing use of both typical and atypical antipsychotics in children. Rapid recognition of NMS is important to emergency physicia...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001000

    authors: Sridaran R,Nesbit CE

    更新日期:2017-01-01 00:00:00